An unusual complication following coronary intervention

Meenakshi MS .

Abstract


A 52 years old diabetic female underwent PTCA with stenting (BMS) to the mid LAD after anterior wall MI. The procedure and hospital course was uneventful. She was admitted after 1 month with history of chest pain suggestive of unstable angina. The patient also gave Ho feverfrom 4th day of PCI for which she was treated by local practitioner with antibiotics. ECG showed anterior wall reinfarction. Coronary angiogram revealed aneurismal dilatation of the LAD segment proximal to and involving the stented segment, probably due to stent infection. Due to increased risk of thrombotic occlusion with coronary aneurysms the patient was taken for bypass grafting to LAD. She is on regular follow up and doing well.

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References


Munoz P, Blanco JR, Rodriguez- creixems M, Bloodstream infections after invasive nonsurgical cardiologic procedures. Arch Intern Med 2001; 161; 2110-5.

Ramsdale DR, Aziz S, Newall N, Bacteremia following complex percutaneous coronary intervention. J Invasive Cardiol 2004; 16:632-4.

Samore MH, Wessolossky MA, Lewis SM, Frequency, risk factors, and outcome for bacteremia after percutaneous transluminal coronary angioplasty. Am J Cardiol 1997; 79: 873-7.

Marc Elieson, Timothy Mixon, John Carpenter, Coronary stent infections : A case report and literature review. Tex Heart Inst J 2012; 39(6); 884-9.

Braunwald’s Heart Disease : Textbook of cardiovascular diseases. 10th edition.


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